U8M-17143-58838
4 vaccinations
3 coded responses
41 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Pruritus — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Circular itchy red spot on left breast. Appeared 24 after vaccination. About 2in in diameter.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I still have a small 2 in wide rash on my left breast, but it seems lighter in color today and less itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Breast discolouration, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The rash on my breast is still a faint purple mark, but it doesnt itch or hurt anymore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2021-10-25
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, DiarrheaAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-09-09
Dose 4 — Moderna
- 2022-10-09
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-09-09 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Circular itchy red spot on left breast. Appeared 24 after vaccination. About 2in in diameter.
Systemic reaction (other): I still have a small 2 in wide rash on my left breast, but it seems lighter in color today and less itchy.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The rash on my breast is still a faint purple mark, but it doesnt itch or hurt anymore.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Breast discolouration | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release